Business Analyst

3 weeks ago


New Delhi, India IMR Soft LLC Full time

Business Analyst - ClaimsExperience :8-9 yearsJD:- Candidate must have worked in US healthcare with experience minimum of 8 years, especially in claims application as business analyst or consultant - Membership and provider domain knowledge/experience is preferable, but must have claims knowledge - FEP, ITS (Interplan Teleprocessing system)/Blue card claims and B2 application knowledge/experience is preferable - Work experience in EHR/EMR is also considered, but must have worked or possess knowledge of claims submission to Payers - Should have knowledge in working with all types of claims – medical, hospital, Pharmacy, Dental, Vision, Blue card/ITS etc - Should have the fundamentals of requirement gathering, elicitation, documenting, and transition over to internal and external stakeholders - Should have experience in writing functional specification documents/BRD - Should have ability to solve the complex business problems and exposed to complete software development life cycle (SDLC) - Should have sound knowledge in claims testing end to end, work under minimal supervision and take complete ownership of delivery - Sound have knowledge of current US federal and state laws with regards to healthcare governance and policies, and preferable to have PAHM/FAHM certifications or working towards certification - Business Analysis knowledge is mandatory, and preferable to have certifications like CBA/CBAP or working towards certification - Nice to have work exposure with agile and scrum teams - Preferable to have basic SQL knowledge - Soft spoken, thrive to learn and willing to work in flexible timing, and may require to work on weekend as per business need


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